Auditor

• Audit the quality of all outpatient work types to assure appropriateness and accuracy of Diagnoses, CPT, HCPCS, CCI edits, and modifier assignment
• Apply ICD10CM, CPT, HCPCS, CPT Assistant, Coding Clinic, CMS guidelines, and NCCI to substantiate coding decisions
• Participate in client system education to gain knowledge necessary to audit client accounts
• Maintain meticulous documentation, spreadsheets, account, and claim examples of root cause issues
• Perform searches of governmental, payor-specific, hospital-specific, regulatory body, and literature rules and guidelines to identify coding and billing requirements
• Make recommendations to client based on audit findings
• Assist in development and coordination of executive summary reports, education and training, and client coding companion
• Meet established productivity standards for coding audits
• Attend coding conferences, workshops, and in-house sessions to receive updated coding information and regulatory changes
• Provide excellent customer service in an organized and efficient manner while maintaining a positive attitude

Outpatient Facility Coding Auditor

Independent Contractor – Collision Center Auditor

Service Auditor

IT Auditor

Auditor III

Eligibility Staff Auditor